Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $70.79 / $151.36	Facility	26	$20.89	$70.79	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $218.78	Professional		$112.20	$131.83	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $144.54 / $269.15	Professional		$22.91	$144.54	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $338.84	Professional		$63.10	$97.72	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $323.59	Professional		$138.04	$147.91	$323.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $25.70 / $51.29	Professional	26	$24.55	$25.70	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $190.55 / $407.38	Professional		$58.88	$190.55	$407.38